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(Chest. 1999;116:830-832.)
© 1999 American College of Chest Physicians

Unilateral Leptospiral Pneumonia and Cold Agglutinin Disease*

Barbara Bowsher, MD, CPT, MC, USAR; Charles W. Callahan, DO, LTC, MC, USA, FCCP; Donald A. Person, MD, COL, MC, USA and Lynne Ruess, MD

* From the Departments of Pediatrics (Drs. Bowsher and Callahan), Clinical Investigation (Dr. Person), and Radiology (Dr. Reuss), Tripler Army Medical Center, Honolulu, HI.

Correspondence to: Charles W. Callahan, DO, LTC, MC, USA, FCCP, Tripler Army Medical Center (MCHK-PE), 1 Jarrett White Rd, Honolulu, HI 96859-5000

Pneumonia that is unresponsive to appropriate antibiotic therapy suggests an infection due to more unusual or resistant organisms. In this report, a child with unilateral pneumonia, pleural effusion, and anti-I cold hemagglutinin antibodies is presented. The usual causes of this clinical picture were suspected and treated, but the child did not improve. Features of her history suggested a more unusual etiology, and a diagnosis of leptospirosis was made. A brief discussion of leptospiral disease in children is provided.

Key Words: anti-I cold hemagglutinin • leptospirosis • pneumonia






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